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前列腺癌脑膜转移:一个新兴的临床难题。

Leptomeningeal metastases from prostate cancer: an emerging clinical conundrum.

机构信息

Department of Oncology, Ygia Polyclinic, Limassol, Cyprus.

出版信息

Clin Exp Metastasis. 2010;27(1):19-23. doi: 10.1007/s10585-009-9298-z. Epub 2009 Nov 11.

DOI:10.1007/s10585-009-9298-z
PMID:19904616
Abstract

Leptomeningeal metastases from solid tumors are relatively uncommon events with dismal prognosis. They can be seen mainly in patients with breast and lung cancer, and malignant melanoma, but have also been described in a variety of other tumor types. Leptomeningeal carcinomatosis from prostate cancer is an extremely rare complication, but as patients' survival is prolonged due to more effective treatments, it is expected that more patients will present with leptomeningeal involvement in advanced stages of the disease. In these cases high levels of prostate-specific antigen can be found in the cerebrospinal fluid. This comprehensive review presents the recent findings from the literature.

摘要

脑脊髓转移瘤来自实体瘤,是一种预后极差的罕见事件。脑脊髓转移瘤主要发生在乳腺癌、肺癌和恶性黑色素瘤患者中,但也存在于多种其他肿瘤类型中。前列腺癌脑脊髓转移是一种极其罕见的并发症,但由于更有效的治疗方法,患者的生存时间延长,预计在疾病的晚期会有更多患者出现脑脊髓转移。在这些情况下,脑脊液中可检测到高浓度的前列腺特异性抗原。本文对文献中的最新研究结果进行了综述。

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1
Leptomeningeal metastases from prostate cancer: an emerging clinical conundrum.前列腺癌脑膜转移:一个新兴的临床难题。
Clin Exp Metastasis. 2010;27(1):19-23. doi: 10.1007/s10585-009-9298-z. Epub 2009 Nov 11.
2
Prostate-specific antigen in the cerebrospinal fluid: a marker of local disease.脑脊液中的前列腺特异性抗原:一种局部疾病的标志物。
Med Oncol. 2009;26(2):143-6. doi: 10.1007/s12032-008-9096-5. Epub 2008 Oct 2.
3
Rare case of pancreatic cancer with leptomeningeal carcinomatosis.罕见的胰腺癌伴软脑膜癌病病例。
World J Gastroenterol. 2015 Jan 21;21(3):1020-3. doi: 10.3748/wjg.v21.i3.1020.
4
Combined chemotherapy with carboplatin plus irinotecan showed favorable efficacy in a patient with relapsed small cell carcinoma of the prostate complicated with meningeal carcinomatosis.卡铂联合伊立替康化疗治疗前列腺小细胞癌脑膜转移患者的疗效良好。
Int J Clin Oncol. 2009 Oct;14(5):468-72. doi: 10.1007/s10147-008-0869-9. Epub 2009 Oct 25.
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Leptomeningeal carcinomatosis: easy to miss.柔脑膜癌病:易被漏诊。
J R Coll Physicians Edinb. 2017 Dec;47(4):351-352. doi: 10.4997/JRCPE.2017.409.
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Novel approaches to treating leptomeningeal metastases.治疗脑膜转移的新方法。
J Neurooncol. 2012 Jan;106(2):225-34. doi: 10.1007/s11060-011-0686-2. Epub 2011 Aug 28.
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A case of metastatic leptomeningeal carcinomatosis from early gastric carcinoma.一例源于早期胃癌的转移性脑脊髓膜癌病例。
World J Surg Oncol. 2012 May 3;10:74. doi: 10.1186/1477-7819-10-74.
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Cytopathological differential diagnosis of malignant tumor cells in the cerebrospinal fluid: A retrospective analysis.脑脊液中恶性肿瘤细胞的细胞病理学鉴别诊断:一项回顾性分析。
Diagn Cytopathol. 2023 Dec;51(12):751-757. doi: 10.1002/dc.25217. Epub 2023 Aug 28.
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[Leptomeningeal carcinomatosis as a rare metastatic spreading of BRAF-mutated microsatellite stable colon cancer].[柔脑膜癌病作为BRAF突变的微卫星稳定型结肠癌的一种罕见转移扩散形式]
Z Gastroenterol. 2017 Jul;55(7):667-674. doi: 10.1055/s-0043-109025. Epub 2017 Jul 14.
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Leptomeningeal Metastasis: A Review of the Pathophysiology, Diagnostic Methodology, and Therapeutic Landscape.脑膜转移:病理生理学、诊断方法学和治疗全景的综述。
Curr Oncol. 2023 Jun 19;30(6):5906-5931. doi: 10.3390/curroncol30060442.

引用本文的文献

1
Extra-axial small cell prostate carcinoma intracranial metastasis: illustrative case.轴外小细胞前列腺癌颅内转移:病例说明
J Neurosurg Case Lessons. 2025 Apr 28;9(17). doi: 10.3171/CASE24705.
2
Leptomeningeal metastases in prostate cancer: A review of the current literature.前列腺癌软脑膜转移:当前文献综述
Curr Urol. 2024 Sep;18(3):159-166. doi: 10.1097/CU9.0000000000000245. Epub 2024 Sep 20.
3
A case report of prostate cancer with leptomeningeal metastasis and bone marrow involvement.前列腺癌伴脑膜转移和骨髓累及病例报告。

本文引用的文献

1
Diethylstilbestrol (DES) retains activity and is a reasonable option in patients previously treated with docetaxel for castration-resistant prostate cancer.己烯雌酚(DES)仍有活性,对于先前用多西他赛治疗过的去势抵抗性前列腺癌患者而言,它是一个合理的选择。
Ann Oncol. 2009 May;20(5):965. doi: 10.1093/annonc/mdp112.
2
Ketoconazole retains activity in patients with docetaxel-refractory prostate cancer.酮康唑在多西他赛难治性前列腺癌患者中仍保持活性。
Ann Oncol. 2009 May;20(5):965-6. doi: 10.1093/annonc/mdp199.
3
Prostate-specific antigen in the cerebrospinal fluid: a marker of local disease.
Cancer Rep (Hoboken). 2024 Apr;7(4):e2041. doi: 10.1002/cnr2.2041.
4
Visual loss as the initial manifestation of an ignored disseminated prostate cancer: A case report.视力丧失作为被忽视的播散性前列腺癌的初始表现:一例报告。
Am J Ophthalmol Case Rep. 2022 Nov 8;28:101748. doi: 10.1016/j.ajoc.2022.101748. eCollection 2022 Dec.
5
A case report of prostate adenocarcinoma with leptomeningeal carcinomatosis and intracerebral metastasis.一例前列腺腺癌伴软脑膜癌病和脑内转移的病例报告。
Clin Case Rep. 2021 Oct 28;9(10):e05000. doi: 10.1002/ccr3.5000. eCollection 2021 Oct.
6
A case report of prostate cancer with leptomeningeal metastasis.前列腺癌合并脑膜转移 1 例报告
Cancer Rep (Hoboken). 2022 Aug;5(8):e1463. doi: 10.1002/cnr2.1463. Epub 2021 Jun 5.
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Leptomeningeal Metastases in a Patient with Castration-Resistant Prostate Cancer.一名去势抵抗性前列腺癌患者的软脑膜转移
Case Rep Urol. 2020 Sep 12;2020:5627548. doi: 10.1155/2020/5627548. eCollection 2020.
8
Leptomeningeal Carcinomatosis of Prostate Cancer: A Case Report and Review of the Literature.前列腺癌软脑膜转移:一例报告并文献复习
Rev Urol. 2020;22(2):80-84.
9
A Case of Leptomeningeal Carcinomatosis from Aggressive Metastatic Prostate Cancer.一例侵袭性转移性前列腺癌所致软脑膜癌病病例
Case Rep Oncol. 2019 Apr 10;12(1):311-316. doi: 10.1159/000499761. eCollection 2019 Jan-Apr.
10
Malignant invasion of the central nervous system: the hidden face of a poorly understood outcome of prostate cancer.恶性侵袭中枢神经系统:前列腺癌预后不良的隐匿面。
World J Urol. 2018 Dec;36(12):2009-2019. doi: 10.1007/s00345-018-2392-6. Epub 2018 Jul 6.
脑脊液中的前列腺特异性抗原:一种局部疾病的标志物。
Med Oncol. 2009;26(2):143-6. doi: 10.1007/s12032-008-9096-5. Epub 2008 Oct 2.
4
Increased detections of leptomeningeal presentations in men with hormone refractory prostate cancer: an effect of improved systemic therapy?激素难治性前列腺癌男性患者软脑膜受累表现的检出率增加:是全身治疗改善的结果吗?
J Med Imaging Radiat Oncol. 2008 Aug;52(4):376-81. doi: 10.1111/j.1440-1673.2008.01973.x.
5
Diagnosing leptomeningeal carcinomatosis with negative CSF cytology in advanced prostate cancer.诊断晚期前列腺癌伴脑脊液细胞学检查阴性的柔脑膜癌病
J Clin Oncol. 2008 Jul 1;26(19):3281-4. doi: 10.1200/JCO.2008.16.4533.
6
A phase II study investigating the re-induction of endocrine sensitivity following chemotherapy in androgen-independent prostate cancer.一项关于在雄激素非依赖性前列腺癌化疗后重新诱导内分泌敏感性的II期研究。
Br J Cancer. 2008 Jan 15;98(1):22-4. doi: 10.1038/sj.bjc.6604051. Epub 2008 Jan 8.
7
Docetaxel plus prednisone or mitoxantrone plus prednisone for advanced prostate cancer: updated survival in the TAX 327 study.多西他赛联合泼尼松或米托蒽醌联合泼尼松治疗晚期前列腺癌:TAX 327研究的生存数据更新
J Clin Oncol. 2008 Jan 10;26(2):242-5. doi: 10.1200/JCO.2007.12.4008.
8
THE FUNCTION OF THE VERTEBRAL VEINS AND THEIR ROLE IN THE SPREAD OF METASTASES.椎静脉的功能及其在转移扩散中的作用。
Ann Surg. 1940 Jul;112(1):138-49. doi: 10.1097/00000658-194007000-00016.
9
Leptomeningeal carcinomatosis in a patient with metastatic prostate cancer: case report and literature review.一名转移性前列腺癌患者的软脑膜癌转移:病例报告及文献综述
Surg Neurol. 2006 Apr;65(4):372-5, discussion 375-6. doi: 10.1016/j.surneu.2005.08.026.
10
Prostatic meningeal carcinomatosis with low serum level of prostate-specific antigen.血清前列腺特异性抗原水平低的前列腺脑膜癌病
Urology. 2005 Dec;66(6):1320. doi: 10.1016/j.urology.2005.06.120.